Individual
BRUCE ROBERT GERYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
MD190871
OR
2084N0400X
Neurology Physician
MD190871
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743526
—
OR
Enumeration date
06/17/2008
Last updated
11/25/2022
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